Midfoot reconstruction with free vascularized fibular graft after wide resection: A case report

Ozger H., Akgul T., Eren I., Topalan M.

ACTA ORTHOPAEDICA BELGICA, vol.77, no.5, pp.702-706, 2011 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 77 Issue: 5
  • Publication Date: 2011
  • Journal Name: ACTA ORTHOPAEDICA BELGICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.702-706
  • Keywords: synovial sarcoma, foot reconstruction, vascularized free fibula, ONE-STAGE RECONSTRUCTION, BONE, FOOT, SARCOMAS, DEFECTS, TUMORS, LIMB
  • Istanbul University Affiliated: Yes

Abstract

Malignant foot tumours are often treated with amputations due to anatomical difficulties. Limb salvage techniques are difficult to perform, as a stable, sensible and plantigrade foot should be obtained to prevent further problems. In this report, we present a midfoot reconstruction with a vascularized free fibula, osteomized in a V-shape after wide resection of a midfoot synovial sarcoma. We describe the reconstruction of both longitudinal arches in which using a vascularized autograft facilitated union, remodeling of the bone, and obtaining a functional foot.